- CVS Health (Chicago, IL)
- …personal, convenient and affordable. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ... project manager and subject matter expert in Risk Adjustment chart retrieval & coding programs...+ Strong written and verbal communication. **Preferred Qualifications** + Risk adjustment program experience within… more
- AdventHealth (La Grange, IL)
- …Paid Time Off from Day One for FT/PT positions . Student Loan Repayment Program for FT/PT positions . Career Development . Whole Person Wellbeing Resources . Mental ... IL **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs,...the development of a discharge plan of care for high- risk patient populations. This role will receive referrals for… more
- Elevance Health (Chicago, IL)
- **Title: Manager Government Business other revenue programs ( Manager Risk Adjustment Quality Control)** **Location: Chicago IL, Indianapolis IN, Grand ... while ensuring the programs are in compliance of CMS program requirements + Become an internal SME for End-Stage-Renal-Disease...management experience in a managed care setting with extensive risk adjustment experience with a focus on… more
- AdventHealth (La Grange, IL)
- …Off from Day One . Whole Person Wellbeing Resources . Student Loan Repayment Program . Career Development . Mental Health Resources and Support . Paid Paternal Leave ... Springs Road, La Grange, IL **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the… more
- Deloitte (Chicago, IL)
- …product strategy + Reimbursement models - including value-based care/ACO modeling + Risk adjustment mechanisms + Familiarity with group insurance products ... Work you'll do As a Deloitte Consulting Health Actuary Manager in the Insurance practice of Deloitte's Human Capital...& Insurance Solutions practice works with finance, actuarial, and risk functions to help life insurance companies, property &… more
- R1 RCM (Chicago, IL)
- …auditing team to ensure accurate and efficient coding of patient diagnoses for risk adjustment purposes. This role involves managing coding operations ensuring ... operating costs and enhancing the patient experience. As our Manager of HCC Coding and Audit, you will be...optimize coding processes. You will perform compliance audits, including risk -based audits and quality review (QR) monitoring, as needed.… more
- Actalent (Chicago, IL)
- Job Title: Senior Research Project Manager Job Description We are seeking a Senior Research Project Manager to oversee complex biomedical and social-behavioral ... control and inspection readiness at all times. + Conduct risk assessment, mitigation planning, and execution. + Prepare, oversee,...and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this… more
- Deloitte (Chicago, IL)
- …with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + 1+ years experience with risk adjustment mechanisms + 1+ years experience with Provider reimbursement streams ... Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance...be eligible to participate in a discretionary annual incentive program , subject to the rules governing the program… more
- Amazon (Chicago, IL)
- …and expansive growth through cross-functional project oversight. The Sr. Construction Manager ensures overall quality of the delivered product. Monitors finish ... progress considering customer, delivery access, food safety pest controls, and general program / operational requirements * Delivers projects on time and on budget.… more
- CVS Health (Chicago, IL)
- …considering the changing landscape of the ACA and overall business objectives * Contribute to risk adjustment and risk score analysis to enhance pricing & ... forecasting expectations regarding risk adjustment , including collaborating with business partners in Product Performance & Revenue Integrity, as well as… more
- AIG (Chicago, IL)
- …report to a Senior Specialist, UW Support, Team Leader, or to an Team Manager , Underwriting Support. The Senior UW Asst is an individual contributor within the ... field operations. This role assists the underwriters by screening risk offerings and with pre and post-binding processes. The...description below), this role will: + Support regional UA Manager in overseeing all daily business activities and act… more
- Amazon (Joliet, IL)
- …team. In this position, you will work closely with the WHS Site Manager , WHS Specialist, and occasionally the Injury Prevention Specialist (IPS). This includes ... will refer care to outside medical providers as needed, and learn about OSHA regulations, risk , and analysis. The OMR will function as a part of the larger team… more